Individual provider Active NPI

Heriberto J Rodriguez-Torres, MD

  • General Practice Physician
  • Vega Baja, PR
National Provider Identifier
1114696499
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022493 Issued in PR
Practice address
50 Calle Jose J Acosta
Vega Baja, PR 00693-4487
Phone
(787) 858-6077
Fax
(787) 858-6704
NPI assigned
Sep 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022493 PR Primary

Addresses

Primary practice location

50 Calle Jose J Acosta
Vega Baja, PR 00693-4487

Mailing address

PO Box 1425
Manati, PR 00674-1425
Phone (787) 858-6077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201001004 PR Practitioner - General Practice 0840683520 Practice locations: Vega Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Calle Jose J Acosta
Vega Baja, PR 00693-4487
Phone (787) 858-6077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22493PRMDGeneral Practice Registered Nurse
022493PRMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1114696499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1425",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741425",
            "telephone_number": "787-858-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CALLE JOSE J ACOSTA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934487",
            "telephone_number": "787-858-6077",
            "fax_number": "787-858-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-TORRES",
        "first_name": "HERIBERTO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.